I am a 57-year-old female. Here is my question constant heart palpitations and fluttering, continuous feeling of adrenaline rushing along with palpitations very bad at night but also during the day when sitting in doing nothing palpitations often make you feel nauseous on a 1 to 10 scale they are about an eight. All labs are normal ECG, echo, and Holter monitor are all normal.
Doctor cannot figure it out and prescribed Propranolol 10 mg, told me to try these once a day. Yesterday after doctor visits heart palpitations for four hours got fed up and took one tablet one hour later, all palpitations and adrenaline rush was gone. Slept for the first time without being woke up having to cough to stop the palpitations. Had angio done approximately two years ago due to suspected heart attack or arrhythmia at home with all classic signs crushing chest pain jaw neck left arm down to the floor nauseated?
Even with that lab test came back good the next day. Had carotid artery surgery two years ago to remove a piece of plaque in right carotid artery none found anywhere else no stent needed. Again all labs are good cholesterol not high on statins and warfarin. I must be perplexing to all doctors because they cannot figure it out. Was put on warfarin approximately 15 years ago due to DVTs as a result of a surgery, always therapeutic. So I had a heart attack or arrhythmia a few years back the angio came out the great doctor said everything looked fine now I have these crazy heart palpitations that would not stop. They go away as soon as I take the beta-blocker. I am told that beta-blockers even though anti-arrhythmic can also be pro arithmetic as well should I take this every day or should I only take this when I start to feel palpitations.
Welcome to ciliniq.com.
So palpitations may be due to cardiac arrhythmia, anxiety, and psychological problems or due to increased awareness of one's heartbeat. Now, since your holter was normal during your palpitations, it rules out the possibility of cardiac arrhythmia. So, these are likely benign palpitations in you. Propranolol is an anti-anxiety medicine, and it also opposes the Adrenaline rush due to psychological causes.
It is not an antiarrhythmic drug per, and it is not arrhythmogenic like other antiarrhythmics. So, there is no harm in having it regularly. It should be taken regularly for a few weeks and later on tapered as symptoms start reducing. Only things to be monitored are BP and pulse rate, which may be reduced due to propranolol on higher doses. I hope this helps you and get back if you have any doubts.
Was this answer helpful?|
Query: Hello doctor, I have attached all my reports. Please let me know how Embeta-AM will help me improve my health. Will there be any side effects? The recent medications which I have used are, Maxoza from last four months, one sachet daily and Fluconazole 200 mg, two tablets in the last two weeks. Infl... Read Full »
Query: Hi doctor, I am a cardiac patient since 16 years after a massive MI followed by an angioplasty. Thereafter, I was taking medication to control high BP along with Aspirin as well as for cholesterol. Recently, I have another mild attack and did my second angioplasty. My BP is fluctuating between 150/9... Read Full »
Query: Hi doctor, Could Atenolol mask any abnormality that might be found where I am not taking a beta blocker at the time of my EKG? I am a 47 year old female. I am overweight but not obese. Read Full »
Ask your health query to a doctor online?Ask a Cardiologist Now